Attitudes and practices of New Zealand anaesthetists with regard to epidural and subarachnoid anaesthesia.

Abstract:

:A survey was conducted among 259 New Zealand specialist anaesthetists to assess attitudes and practices with regard to epidural or subarachnoid anaesthesia (ESA). Ninety-four per cent replied and virtually all of the respondents indicated that they performed ESA at some time. ESA was used by most anaesthetists for most patients undergoing major hip or knee surgery, abdomino-perineal resection, cystectomy, caesarean section or transurethral resection of the prostate, ESA was used is about half of patients undergoing abdominal aortic aneurysm repair, femoro-popliteal bypass or thoracotomy and there was marked variation between anaesthetists in the frequency of using ESA for these procedures. There was broad consensus about the importance of a number of factors that might influence the decision to employ ESA; in particular that systemic sepsis and prolonged bleeding time were important contraindications and that patient preference and chronic lung disease were important indications. However respondents were equally divided as to whether they felt that recent myocardial infarction or congestive heart failure constituted indications or contraindications to ESA.

journal_name

Anaesth Intensive Care

authors

Rodgers A,Sage D,Futter M,MacMahon S

doi

10.1177/0310057X9602400114

subject

Has Abstract

pub_date

1996-02-01 00:00:00

pages

79-86

issue

1

eissn

0310-057X

issn

1448-0271

pii

1994239

journal_volume

24

pub_type

杂志文章
  • Neurological monitoring during anaesthesia and surgery.

    abstract::The ability to monitor the electrical activity of the central nervous system and to record responses to stimulation allows for a more immediate assessment of the functional integrity of the nervous system during anaesthesia than do conventional techniques. These monitoring methods, however, have been slow to find acce...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X8801600319

    authors: McMeniman WJ,Purcell GJ

    更新日期:1988-08-01 00:00:00

  • The effect of remote ischaemic preconditioning on myocardial injury in patients undergoing off-pump coronary artery bypass graft surgery.

    abstract::In several recent clinical trials on cardiac surgery patients, remote ischaemic preconditioning (RIPC) showed a powerful myocardial protective effect. However the effect of RIPC has not been studied in patients undergoing off-pump coronary artery bypass graft surgery. We evaluated whether RIPC could induce myocardial ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,随机对照试验

    doi:10.1177/0310057X1003800518

    authors: Hong DM,Mint JJ,Kim JH,Sohn IS,Lim TW,Lim YJ,Bahk JH,Jeon Y

    更新日期:2010-09-01 00:00:00

  • Adverse reactions to human plasma proteins.

    abstract::Adverse reactions to human plasma proteins range from mild urticaria to fatal anaphylaxis and may occur with virtually any blood product. The most common clinical settings appear to be whole blood transfusion in subjects with no previous history of reactions, or the infusion of fresh frozen plasma or injection of huma...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800207

    authors: Wells JV,King MA

    更新日期:1980-05-01 00:00:00

  • Acute lithium intoxication.

    abstract::We present a case of acute lithium intoxication in a 51-year-old woman on chronic lithium therapy. Her serum lithium level was 10.6 mmol/l 13 hours after ingestion and 5.8 mmol/l at 24 hours. Dialysis therapy was not employed and she recovered well after fluid resuscitation. Serum lithium levels in chronic intoxicatio...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0203000118

    authors: Nagappan R,Parkin WG,Holdsworth SR

    更新日期:2002-02-01 00:00:00

  • Peripartum management of a patient with dopamine beta-hydroxylase deficiency, a rare congenital cause of dysautonomia.

    abstract::We present the first reported case involving the peripartum anaesthetic management of dopamine beta-hydroxylase deficiency in a 22-year-old primigravida with high-grade placenta praevia. Elective caesarean section was performed at 36 weeks gestation with a combined spinal-epidural regional anaesthetic technique. Exten...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0203000416

    authors: Scurrah NJ,Ross AW,Solly M

    更新日期:2002-08-01 00:00:00

  • Hypoxia in children following general anaesthesia.

    abstract::The oxygen saturations of 152 children were studied for the first 30 minutes following general anaesthesia with a pulse oximeter. Thirty-six patients (24%) recorded oxygen saturations of less than 90% while breathing room air and in all cases this occurred during the first ten minutes. Intubation (P less than 0.001), ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8801600208

    authors: Tomkins DP,Gaukroger PB,Bentley MW

    更新日期:1988-05-01 00:00:00

  • Trends in intra-aortic balloon counterpulsation: comparison of a 669 record Australian dataset with the multinational Benchmark Counterpulsation Outcomes Registry.

    abstract::The aim of this study was to review and describe indications for intraaortic balloon counterpulsation (IABP) use and identify the impact these have on outcomes at an Australian cardiothoracic tertiary referral hospital. A secondary aim was comparison of the Australian practice with a large multinational IABP data regi...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500101

    authors: Lewis PA,Mullany DV,Townsend S,Johnson J,Wood L,Courtney M,Joseph D,Walters DL

    更新日期:2007-02-01 00:00:00

  • Prophylactic intramuscular ephedrine prior to caesarean section.

    abstract::Thirty healthy parturients, having given informed consent, were randomly allocated in a double-blind study to receive an intramuscular injection of either 0.9% sodium chloride (control), ephedrine 25 mg, or ephedrine 50 mg, 30 minutes prior to general anaesthesia for caesarean section. Nine patients (90%) in the 50 mg...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X9202000408

    authors: Rout CC,Rocke DA,Brijball R,Koovarjee RV

    更新日期:1992-11-01 00:00:00

  • The impact of intraoperative transoesophageal echocardiography on an unselected cardiac surgical population: a review of 2343 cases.

    abstract::Although intraoperative transoesophageal echocardiography (TOE) has an established role in the management of some cardiac surgical procedures, there is little data on its impact on coronary artery bypass graft (CABG) cases that are stratified for clinical risk. This is a retrospective review of the surgical impact of ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0203000603

    authors: Forrest AP,Lovelock ND,Hu JM,Fletcher SN

    更新日期:2002-12-01 00:00:00

  • A survey of patient understanding and expectations of sedation/anaesthesia for colonoscopy.

    abstract::One hundred and fifty-nine adult patients undergoing elective colonoscopy in a major regional hospital were surveyed regarding their perceptions and expectations of sedation/anaesthesia for this procedure. The survey was undertaken on the day of the procedure, but before their assessment by the anaesthetist. Most of o...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1304100315

    authors: Chatman N,Sutherland JR,van der Zwan R,Abraham N

    更新日期:2013-05-01 00:00:00

  • A national survey of atropine use by Australian anaesthetists.

    abstract::All Fellows of the Faculty of Anaesthetists, Royal Australasian College of Surgeons (now Australian and New Zealand College of Anaesthetists) were surveyed by mail regarding their use of prophylactic atropine. They were asked whether their usual practice was to give atropine for the following indications: premedicatio...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9402200110

    authors: Parnis SJ,van der Walt JH

    更新日期:1994-02-01 00:00:00

  • Haemodynamic measurements (continuous cardiac output and systemic vascular resistance) in critically ill patients: transoesophageal Doppler versus continuous thermodilution.

    abstract::Ten critically ill patients underwent this prospective study to assess the reliability of the continuous thermodilution versus transoesophageal Doppler techniques in the determination of continuous cardiac output (CO) and systemic vascular resistance (SVR). A total of 145 pairs of CO and SVR measurements were obtained...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9902700106

    authors: Baillard C,Cohen Y,Fosse JP,Karoubi P,Hoang P,Cupa M

    更新日期:1999-02-01 00:00:00

  • Risk factors for post-pneumonectomy acute lung injury/acute respiratory distress syndrome in primary lung cancer patients.

    abstract::Acute lung injury/acute respiratory distress syndrome (ALI / ARDS) is the most serious pulmonary complication after lung resection. This study investigated the incidence and outcome of patients with ALI / ARDS who required mechanical ventilation within one week of undergoing pneumonectomy for primary lung cancer and a...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0903700110

    authors: Jeon K,Yoon JW,Suh GY,Kim J,Kim K,Yang M,Kim H,Kwon OJ,Shim YM

    更新日期:2009-01-01 00:00:00

  • The making of an anesthesiologist: a review of the American scene.

    abstract::Many anaesthetists practising in Australia and New Zealand realise that differences exist in the training of their counterparts in the United States. This review attempts to highlight the differences observed by two anaesthetists who have been involved in both systems. Aspects of the American Board of Anesthesiology e...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8301100319

    authors: Ronai A,Shanks CA

    更新日期:1983-08-01 00:00:00

  • Anaesthesia for emergency caesarean section, 2000-2004, at the Royal Women's Hospital, Melbourne.

    abstract::The provision of anaesthesia for emergency caesarean section is a major part of the workload of obstetric anaesthetists and the urgency often dictates the mode of anaesthesia that can be provided. We have audited the provision of anaesthesia for 'immediate' caesarean sections over a four-year period following the intr...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500110

    authors: Popham P,Buettner A,Mendola M

    更新日期:2007-02-01 00:00:00

  • Retrosternal block use in the treatment for dyspnoea.

    abstract::We present a technique of retrosternal block for symptomatic treatment for dyspnoea of various aetiologies. In our experience with 20 patients, a retrosternal block using lignocaine improved symptoms within minutes. The block was easy to perform and was helpful when the patients' symptoms were not relieved by conventi...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0503300420

    authors: Barak M,Isserles S,Katz Y

    更新日期:2005-08-01 00:00:00

  • Predictors of physician confidence to diagnose pneumonia and determine illness severity in ventilated patients. Australian and New Zealand practice in intensive care (ANZPIC II).

    abstract::The manner in which elements of clinical history, physical examination and investigations influence subjectively assessed illness severity and outcome prediction is poorly understood. This study investigates the relationship between clinician and objectively assessed illness severity and the factors influencing clinic...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,多中心研究

    doi:10.1177/0310057X0503300117

    authors: Boots RJ,Lipman J,Bellomo R,Stephens D,Heller RE

    更新日期:2005-02-01 00:00:00

  • The prevalence of latex allergy in operating theatre staff.

    abstract::Latex allergy has become increasingly common amongst health care workers. The prevalence of latex allergy in 102 theatre personnel at Princess Alexandra Hospital was determined by the results of a standardized questionnaire and a latex specific IgE radioallergosorbent test (RAST). Volunteers had their forced expirator...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0102900108

    authors: Hack ME

    更新日期:2001-02-01 00:00:00

  • PEEP and CPAP.

    abstract::Positive end-expiratory pressure (PEEP) maintains airway pressure above atmospheric at the end of expiration, and may be used with mechanical ventilation or spontaneous breathing. CPAP, or continuous positive airway pressure, refers to spontaneous ventilation with a positive airway pressure being maintained throughout...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章,评审

    doi:10.1177/0310057X8601400304

    authors: Duncan AW,Oh TE,Hillman DR

    更新日期:1986-08-01 00:00:00

  • Learning and teaching in small groups: characteristics, benefits, problems and approaches.

    abstract::Small group learning may be defined as a group of learners demonstrating three common characteristics; active participation, a specific task and reflection. This article provides an overview of small group learning and teaching, describes the characteristics of this form of small group work, benefits, problems, potent...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0703500420

    authors: Jones RW

    更新日期:2007-08-01 00:00:00

  • Some prehistory of New Zealand intensive care medicine.

    abstract::In taking 1960 as the foundation year for the practice of intensive care medicine in New Zealand, this paper briefly looks into the previous two centuries for some interventions in life-threatening conditions. With the help of descriptions in early 19th century journals and books by perceptive observers, the author fo...

    journal_title:Anaesthesia and intensive care

    pub_type: 历史文章,杂志文章

    doi:10.1177/0310057X090370S105

    authors: Trubuhovich RV

    更新日期:2009-07-01 00:00:00

  • Tramadol overdose and serotonin syndrome manifesting as acute right heart dysfunction.

    abstract::Acute right heart failure in a young person is an unusual presentation and drug overdose is a rare cause. A case is described where the patient presented with striking clinical signs of acute pulmonary hypertension and right heart failure, which were confirmed by transthoracic echocardiography. The precipitating event...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X0403200417

    authors: Garrett PM

    更新日期:2004-08-01 00:00:00

  • Remifentanil and propofol sedation for retrobulbar nerve block.

    abstract::We studied remifentanil and propofol for analgesia and sedation during the placement of an ophthalmic block. Eighty ASA I or II patients undergoing elective cataract surgery under a retrobulbar block in a rural camp setting were included in the study. Patients were randomly divided into four groups and received differ...

    journal_title:Anaesthesia and intensive care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1177/0310057X0203000405

    authors: Rewari V,Madan R,Kaul HL,Kumar L

    更新日期:2002-08-01 00:00:00

  • Local cerebral blood flow and the electrocorticogram during sodium nitroprusside hypotension.

    abstract::Changes in local cerebral blood flow during sodium nitroprusside hypotension were measured using the hydrogen electrode technique. At mean arterial pressures from 90% to 50% of control values, local cerebral blood flow showed a significant decrease by 20%. When blood pressure was reduced below 50%, the local cerebral ...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7800600402

    authors: Miller CL,Lampard DG,Griffiths RI,Brown WA

    更新日期:1978-11-01 00:00:00

  • Association between perioperative glucose levels and adverse outcomes in infants receiving open-heart surgery with cardiopulmonary bypass for congenital heart disease.

    abstract::There is no consensus that hyperglycaemia is an independent predictor of morbidity-mortality in children. This retrospective observational study aimed to assess the association between abnormal perioperative glucose levels and adverse outcomes in infants receiving open-heart surgery with cardiopulmonary bypass. The re...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X1204000506

    authors: Huang XZ,Wang H,Xu HZ,Ye M,Jiang P,Xu Y

    更新日期:2012-09-01 00:00:00

  • Should autologous blood transfusion be rediscovered?

    abstract::With a greater appreciation and understanding of reactions to homologous blood transfusion there has been a renewed interest in autologous blood transfusion. The techniques and indications for preoperative banked autologous blood, perioperative haemodilution and recycled salvaged autologous blood transfusion are descr...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8000800212

    authors: Isbister JP,Davis R

    更新日期:1980-05-01 00:00:00

  • Anaesthesia for renal transplantation--5 years' experience.

    abstract::Two hundred and seventy patients underwent anaesthesia for 280 renal transplants between October 1977 and October 1982. Their medical records were studied retrospectively. These patients were representative of the end-stage chronic renal failure population, with the usual high incidence of cardiovascular and biochemic...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X8301100405

    authors: Marsland AR,Bradley JP

    更新日期:1983-11-01 00:00:00

  • Alleged allergy to local anaesthetics.

    abstract::The aim of this study was to determine the incidence of true local anaesthetic allergy in patients with an alleged history of local anaesthetic allergy and whether subsequent exposure to local anaesthetics is safe. Two hundred and eight patients with a history of allergy to local anaesthesia were referred over a twent...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X9702500602

    authors: Fisher MM,Bowey CJ

    更新日期:1997-12-01 00:00:00

  • Pioneers of laryngoscopy: indirect, direct and video laryngoscopy.

    abstract::Airway management is one of the core skills of the anaesthetist and various techniques of airway management have developed over many years. Initially, the only view of the glottis that could be obtained was an indirect view (indirect laryngoscopy). Late in the 19th century, a direct view of the glottis was obtained vi...

    journal_title:Anaesthesia and intensive care

    pub_type: 历史文章,杂志文章

    doi:10.1177/0310057X150430S103

    authors: Pieters BM,Eindhoven GB,Acott C,van Zundert AA

    更新日期:2015-07-01 00:00:00

  • Intradermal testing after severe histamine reactions to intravenous drugs used in anaesthesia.

    abstract::In a series of patients who suffered severe histamine mediated reactions to induction agents and muscle relaxants, intradermal testing enabled the drug involved to be distinguished. The correct use of intradermal testing to give reliable results is discussed and a protocol described. Prausnitz Kustner testing was of l...

    journal_title:Anaesthesia and intensive care

    pub_type: 杂志文章

    doi:10.1177/0310057X7600400202

    authors: Fisher MM

    更新日期:1976-05-01 00:00:00